Individual
RALESIA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3417 HIGHWAY 5 STE G, DOUGLASVILLE, GA 30135-2378
(205) 566-5005
Mailing address
PO BOX 911, REX, GA 30273-0911
(205) 566-5005
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT011378
GA
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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